Autism: Frequently Asked Questions 1. What is autism? Autism is a severe and complex developmental disability. It occurs due to neurological disorder that affects the functioning of the brain. The typical symptoms of autism may be seen by the time the child is 24 to 30 months. Autism is more commonly found in boys. 2. What are the features of autism? Children with autism generally show the following features • Insistence on sameness; resistance to change • Prefers to be alone • Tantrums • Inability to communicate needs appropriately • Spinning, rocking and other self-stimulatory behavior • Aggression which can include biting, hair pulling, grabbing, hitting, kicking, etc. • Self abusive behaviors which can include head banging, eye-poking, scratching oneself, slapping • Lack of safety skills and the perception of danger • Over-sensitivity or under-sensitivity to pain • Little or no eye contact 3. How is autism diagnosed? Though there are no medical tests to diagnose autism, there are some prescribed criteria that are used internationally to identify autism. These criteria consist of certain behaviors that are typically seen in children with autism. Presence or absence of these behaviors in additon to family history may help in diagnosing autism. 4. What is Autism Spectrum Disorder? Over the years as the definition of autism broadened the new terminology of Autism Spectrum Disorder (ASD) has became increasingly popular. ASD can include individuals who meet the criteria for autism as well as the following diagnoses and classifications Pervasive Developmental Disorder Not Otherwise Specified: refers to a very mild form of autism. Rett’s Syndrome: refers to a genetic disorder affecting only girls that behaviorally resembles characteristics of autism. Asperger Syndrome: refers to individuals with the characteristics of autism but with relatively intact language skills. These individuals are usually of normal or above normal intelligence. Childhood Disintegrative Disorder: refers to individuals whose development appears normal for the first several years of life, but regresses with the loss of speech and the increased display of characteristics of autism. 5. What causes autism? There is no known single cause for autism, but it is generally accepted that it is caused by abnormalities in brain structure or function. Brain scans show differences in the shape and structure of the brain in children with autism and nondisabled children. Scientists believe that genetics, problems during pregnancy and delivery, and environmental factors such as viral infections, metabolic imbalances and exposure to toxic chemicals may cause autism. 6. What is the difference between autism and mental retardation? Most people with mental retardation show a relatively even rate of skill development even if it is at a lower rate than the normal range. While individuals with autism typically show uneven skill development with deficits in certain areas especially in their ability to communicate and related to others. They may have special skill in other areas. 7. What is the treatment for autism? Autism is a condition, not a disease. While there is no treatment that can cure autism, children with autism improve significantly with appropriate intervention that consists of speech and language therapy, sensory integration therapy and behavior modification. Parents or caregivers should follow up the intervention program at home for best result. 8. How will speech and langauge therapy help a child with autism? Children with autism have significantly difficulties in understanding and using langauge for communication. A speech and language therapist helps a child to develop communication skills through use pictures, symbols, sign language, communication boards etc. 9. How will sensory integration therapy help a child with autism? Children with autism have problems in integrating the information they receive from their sense organs. They may be hypersensitive or hyposensitive to certain noise, touch, smell, taste etc. An occupational therapist uses equipment and techniques that help a child integrate and unify the inputs derived from sense organs. This reduces the child’s hypersensitivity or hyposensitivity and enables him/her to adjust well to the environment. 10. My child repeats when we speak to him. What can be done about it? Many children with autism, who have speech, repeat what others speak to them. This is known as echolalia – the tendency to echo whatever is heard. Instead of answering a question, the child merely echoes or repeats the question. This is generally due to the basic deficit in understanding oral spoken language which all children with autism face. However, echolalia should be considered as manifestation of the child’s intent to communicate. Besides, an echolalic child has a good speech ability that can be further developed. One should consult a speech and language therapist for suitable intervention program to reduce echolalia. 11. As a parent how can I help my autistic child? If your child is showing symptoms of autism, it is essential that you see a developmental pediatrician and other professionals to get a differential diagnosis. Start the recommended early intervention programs as soon as possible. Ensure that the child attends a school. Observe how the intervention is given and follow up the program at home. Remember that your child with autism is a child first, and should receive acceptance, love and respect due to all children. 12. What is the most effective educational approach for children with autism? Today most experts believe an "early and intensive behavior intervention program" using a combination of teaching procedures is necessary to have children reach their full potential. A full assessment of the child's strengths and deficits should direct the child's program. 13. What is Diet Therapy? Some professionals believe that the root cause of the problems faced by children with autism may be their allergy to casein and/or gluten. Casein is an element in milk, whereas gluten is commonly found in wheat. Hence, if intake of casein and gluten is controlled children may improve significantly. However, this may not be true for those children who do not have this allergic condition. The curative claims of Diet therapy as a suitable intervention for all children with autism have not been substantiated by research. 14. What is Auditory Integration Therapy? Auditory Integration Therapy is based on the rationale that children with autism have hyper or hyposensitive to sounds. Proponents of this therapy believe that problem can be reduced by making a child listen to specially digitalized music through headphones. The music is digitalized to eliminate or emphasize the frequencies at which the sound is either hypo or hyperacute. Over a period of sessions the the listening experience is expected to be altered and result in a more normal audiogram. Researchers have not found Auditory Integration Therapy as an effective technque to address deficits in autistic children. 15. What is Augmentative and Alternative Communication? Augmentative and Alternative Communication (AAC) is a method to support existing speech or developing independent use of non-speech symbol system such as sign language, visual symbols (pictures and words) displayed on a communication board. AAC is often used autism intervention because many children with autism are nonverbal and have difficulties in comprehending spoken language. 16. What are the chances of autism in the next child born to us? Can we have a normal child? About 10% of the cases of autism can be accounted for genetically. If there is one child with autism in the family, risks of having another child with autism is much higher than in the general population. So far, there is no reliable test to detect autism in the fetus. 17. Why does he keep playing with his fingers/rocking himself back and forth/spinning around etc.? Children with autism respond to sensations in ways, which are different from that of others. Due to their inability to integrate sensory information they manifest unusual mannerisms like flapping and rocking etc. These mannerisms are the children’s natural responses or methods of coping with sensory difficulties. These behaviors sometimes help them to relax. 18. Can autism occur along with any other disabling condition? Yes it is possible. A large number of children with autism have mental retardation. Additionally, many children with visual impairment, cerebral palsy and attention defict disorders also show autistic features. 19. Can children with autism be educated in general schools? Autism is a spectrum disorder. This means that autistic features may vary in intensity among the children. Children who are diagnosed as having Asperger’s Syndrome have the intelligence to cope with the demands of general school curriculum. Most of them are in general schools and can be sustained there with minor modifications in the classroom activities. Other children within the spectrum should also be integrated as far as possible. 20. Is the child’s own home a better option for him/her, or is a hostel better? It is now increasingly accepted that during the early years of development, it is important for an autistic child to live and grow in a home environment. As the child grows up, he/she can be trained to live in a group home but it is very important for the autistic people living in such homes also to integrate with society in general and not just be abandoned in a home 21. Can the child ever live an independent life? Autism is a spectrum disorder. Currently there is no reliable and objective measure of how severe the autism is in an individual child. Children with autism do have potential for building up their skills and they can be helped if they receive early, well-focused intervention. Depending on the child’s individual skill profile and the appropriateness and intensity of intervention they receive, children with autism can lead relatively independent lives. 22. Can they get married and have regular children? The essence of marriage is companionship. It is a union between two consenting adults and it involves adjustment and carrying on day-to-day responsibilities of life. It also involves an ability to plan for the future etc. Before deciding to marry an autistic person, the following things need to be considered: The level of functioning of the person. That the partner understands the needs of, and that he or she knows everything about, the autistic spouse (if one of them is not autistic). Financial status (employment, family support etc.) However, since marriage is an issue of social commitment and companionship, by the very nature of the condition many able people with autism choose not to marry. 23. Who should we contact to get help for our child? Autism services are now available in all major cities in India. You can contact the following Action For Autism Pocket 7 & 8 Jasola Vihar New Delhi-110025 Tel: 91-11-55347422 Tel: 91-11-30964730 Email: actionforautism@gmail.com url: http://www.autism-india.org Assam Autism Foundation 5 Dinesh Ojha Path, Rajgarh Guwahati 781 005 Assam Tel: 00911-9864027292/14608 Email: autismassam@sify.com Autism Society West Bengal 22 Anjuman Ara Begum Row Kolkata 700 033 Tel: 033 24730706 Tel: 033 24170860 Email: autismsocietywb@gmail.com Forum For Autism 2nd floor, Block A, Jeshtaram Baug Dr.Ambedkar Rd, Dadar, Mumbai 400 014 Email: forumforautism@hotmail.com India Autism Forum S-123, Kirloskar Colony, III Stage IV Block, Basveswarnagar, Bangalore 560 079 Tel: 080 3225279 Tel: 080 3230357 Email: Info@ashaforautism.com Web: http://www.ashaforautism.com Movement for Autism House No 216 Ramachandrapuram Jalahalli Post Bangalore 560013 Tel: 080-28391050 Email: swapnatn@vsnl.com Sambhav B-4/24, Chitrakoot Ajmer Road Jaipur Tel: 09214350987 SOPAN A-4 Silver Arch, Ramnagar Borivali (W) Mumbai 400 092 Tel: 022-28064443 Tel: 022-65043998 Email: sopantrust@rediffmail.com www.sopan.org Ummeed Child Development Center Ground Floor, Mantri Pride 1-B, 1/62, N.M. Joshi Marg Subhash Nagar Near Chinchpokli Station Lower Parel Mumbai 400011 tel: 65528310, 65564054, 23002006, 23001144 Email: ummeed@vsnl.net We Can Trust Resource Centre: 4/ 370, South First Main Road, Kapaleeswarar Nagar, Neelangarai, Chennai 600 041 Ph: 55461010 No 4/2 Parsn Riviera 4th Main Road Extn Kotturpuram, Chennai - 600085 Tel: 044 24464655 Tel: 044 24473136 Tel: 044 4464077 Email: wecantrust@rediffmail.com ASHA S-123 Kirloskar Colony 3rd Stage 4th Block Basveswarnagar Bangalore- 560 079 tel: 080-23225279 e-mail : info@ashaforautism.com Ashiana Nityanand Municipal School Sahar Road, Andheri East Mumbai tel: 022-26845062, 26125742 Autism Centre Autism Centre c/o Prasanna Hospital Deccan Gymkhana, Pune 411004 tel: 91-020-25652246 url: http://www.prasannaautism.org e-mail: info@prasannaautism.org Communication DEALL 47 Hutchins Road II Cross Sarvajna Nagara (Cooke's Town) Bangalore 560 084 Tel: 91 080 2580 0826 url: http://www.communicationdeall.org e-mail: info@communicationdeall.org Dakshinya Special Education Centre & School for Autism A 32/250, Old Siddharth Nagar Road no. 10, Behind Aadarsha Vidyalaya Goregaon (W) Mumbai-400062 Tel : 9819023790 Disha Charitable Trust 319-320, Race Course Towers, Gotri Road, Vadodara-390 007 Gujarat tel: 91-265-2325250 fax: 91-265-2300059 Email: dishatrust@iqara.net url: http://www.disha.org/ Dikshan 22 Anjuman Ara Begum Row Kolkata 700033 Tel: 033 - 24730706, 24170860 Email: indrani_basu55@yahoo.co.in DEC C/o Spastics Society of Karnataka 31, 5th Cross, Off 5th Main Indira Nagar 1st Stage Bangalore 560038 Diuli Daycare Centre cum Preschool 841/1, Alto Porvorim, Goa 403 521 tel: 0832 - 2414916 Jyot Special School Kutarkar Residency, Near multipurpose school, Borda, Margao, Goa tel: 0832 2765097 Open Door Sector 5 Jasola Vihar Behind Sai Niketan New Delhi 110025 INDIA tel: 91-11-65347422, 40540991/2 fax: 91-11-40540993 e-mail: autism@vsnl.com url: http://www.autism-india.org/afa_opendoor.htm Pradip Centre for Autism Dr. Mallika Banerjee Flat No: 4, Lakeview Cooperative Housing Society P-203/B, Block B Kolkatta - 700089 Tel : 033-25341832/25748503 (office) 25340891 (d) e-mail: mallib@hotmail.com Priyanj Special School 239/1905 Motilal Nagar no 1, Achyut Behre Marg, Near Ganesh Mandir, Road no 4, Goregaon (west), Mumbai -400104. tel: 022-28753880/ 9821098325 e-mail: priyanj_school@yahoo.co.in SAI 173, Ramkrishna, 2nd floor 10th Road, Khar West Mumbai 400 052 tel: 022-26007267 e-mail: kamini108@rediffmail.com SAI-Apoorva Center for Autism c/o Lions Club of Sarakki 21st mn, 1st Cross, JP Nagar Phase 2 Bangalore, Karnataka 560078 Tel: 080-65710445, 09243195154 e-mail: apoorva.autism@gmail.com url: http://www.saiautismcenter.org SAIRAM Autism C/o Jai Vakeel School Sewri Hills, Sewri Road Mumbai 400 033 tel: 022-24701129, 24702285 Samarpan Centre for Autism Spectrum Disorders M.G. Road Municipal School Opp. Parle Vidya Tilak Mandir 3rd floor, Above Marathi Medium School Near Kesrekar Garden Vile Parle (East) Mumbai 400 057 tel : 022 - 65043998 Sankalp Learning Centre Q-9, New No. 41, 6th. Avenue. Chennai 600040 Tamil N. tel: 044 42113947 email: sulata.sankalp@airtelbroadband.in School of Hope CPWD Complex Near Chinmay School Vasant Vihar New Delhi 110 057 tel: 26143853, 26151572 e-mail:tamana@mantramail.com Smt. Radhabai Jamnadas Thakkar Autistic Centre Shree Manav Seva Sangh 255-257, Sion Road, Sion (West) Mumbai-400022 Tel : 24092266, 24077350, 24015561, 24077327 e- mail: smss@bom8.vsnl.com Website: www.shreemanavseva.org Sunshine Centre For Autism 280, 6th Cross Domlur Layout Bangalore-71 tel : 08065360892 e-mail : sunshineautism@vsnl.net We Can Trust No 4/2 Parsn Riviera 4th Main Road Extn Kotturpuram, Chennai - 600085 Tel: 044 24464655, 24473136 e-mail: wecantrust@rediffmail.com